In 70% of cases, ovary cancer presents with distal spread (metastasis) and requires combined treatment with both chemotherapy and surgery.
- Surgery for ovary cancer is called Debulking, which means removing the visible cancer/tumour. This may also require bowel surgery and stoma formation (for a colostomy or ileostomy) in addition to removal of the ovaries, fallopian tubes and womb.
- Chemotherapy: Cancer of the ovary is usually sensitive to chemotherapy. Unless the cancer is confined to the ovary, chemotherapy treatment is recommended. Chemotherapy can be given before surgery (neoadjuvant) to shrink the tumor and after the surgery (adjuvant) to destroy any remaining cancer cells. A combination of two drugs is usually given, carboplatin and paclitaxel.
After treatment, you will be followed up closely. A clinical examination, blood tests and scans may be performed to monitor for disease recurrence.